Bence Jones proteins are derived from?
A. Alpha globulins
B. Beta globulins
C. Delta globulins
D. Gamma globulins
Correct answer: D. Gamma globulins
Bence Jones proteins contain light chains of gamma globulins.
Kayser Fleischer ring is characteristic of ?
D. Wilson’s disease
Correct answer : D. Wilson’s disease
Wilson’s disease is characteristic of Wilson’s disease. Other conditions in which KF ring is seen are: Chronic active hepatitis, Primary biliary cirrhosis and Intrahepatic cholestatic syndromes.
Conditions associated with thymoma are all except?
A. Myasthenia gravis
B. Cushing’s syndrome
Correct answer : C. SIADH
SIADH ( Syndrome of Inappropriate ADH secretion) is not seen associated with thymomas.
Bence Jones proteinuria is seen in?
A. Alpha heavy chain disease
B. Gamma heavy chain disease
C. Mu heavy chain disease
D. Epsilon heavy chain disease
Correct answer : C. Mu heavy chain disease
Bence Jones proteinuria is seen in Mu heavy chain disease. It occurs due to the excretion of kappa light chains in urine.
Which of the following is impaired in a case of gout?
A. Protein metabolism
B. Ketone metabolism
C. Purine metabolism
D. Pyrimidine metabolism
Correct answer : C. Purine metabolism
Gout arises form the increased production / decreased excretion of uric acid (an end product of purine metabolism).
Which of the following is false regarding delirium tremens?
C. Visual hallucinations
D. Clouding of consciousness
Correct answer : B. Ophthalmoplegia
Ophthalmoplegia is seen in Wernicke’s encephalopathy.
Coarctation of aorta is most commonly seen with?
D. Bicuspid aortic valve
Correct answer : D. Bicuspid aortic valve
Bicuspid aortic valve is the most common anomaly associated with coarctation of aorta (seen in 70%).
Contraindication for medical management of gallstone is:
A. Normal gallbladder function
B. Small gallstones
C. Radiolucent gallstones
D. Radiopaque gallstones
Correct answer : D. Radiopaque gallstones
Medical management cannot be used in case of radiopaque gallstones.
Correct statement about pleural effusion:
a) Lower level in axilla
b) Tracheal and mediastinal shift to same side
c) Exudate in heart failure
d) Exudative pleural effusion has straw colour with high protein and cell count
Correct answer: d) Exudative pleural effusion has straw colour with high protein and cell count. Read more and see a representative chest x-ray.